| NPI | 1255670477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL THAYER President 606-271-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY LCSW 3155) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |